LMPV Testimony | Sunset Direct-entry Midwives

by Briana Simmons


Testimony Transcript

LMPV Testimony | Sunset Direct-entry Midwives  

Committee: Senate Health & Human Services 

Sponsors: Senator Fields and Senator Story 

Bill number: SB21-101 

Testimony Transcript 

Thank you Madame Chair and members of the committee. My name is Briana Simmons, and I’m the Black Womxn’s Health, Healing, & Joy Coordinator for Soul 2 Soul Sisters where we organize for Black Womxn’s Healing and Liberation here in Denver. As a prenatal, labor, and birth doula and aspiring direct entry midwife, I’m here to testify on behalf of Soul 2 Soul Sisters to urge you to support Senate Bill 21- 101.  

Midwives have been crucial for Black communities in providing a safe birthing option that, oftentimes, is better than the experience of going to a hospital where we are extremely vulnerable to institutional racism. Many womxn face complications during pregnancy, and Black Womxn experience complications at higher rates, leading to increased infant and maternal mortality in our communities. The CDC states that Black women are 243% more likely to die from pregnancy and childbirth-related causes compared to white women. Due to the legacy of slavery and instutionalized anti-Black racism, the US is one of the most dangerous places to be pregnant for Black womxn. As we face an unprecedented healthcare pandemic that is hitting Black communities hardest, we should be focusing on expanding access to healthcare services, not limiting services or putting up more barriers. We believe that the continuation of the Direct-entry Midwives program is necessary for protecting Black birthing people in our state.  

Every birthing person should be able to make decisions about their birth plans based on the unique circumstances of their pregnancy and life together with their chosen provider, including midwives. With this in mind, it is important to me that the DEM Sunset include:  

  • Permitting GBS prophylaxis so that more families can make the choice to test for GBS if they would like to 
  • Allowing DEMs to practice in birth centers to allow continuation of care for families if their needs or desires change during pregnancy. 
  • And additionally I understand the amendment isn’t being offered today, but it’s important to the conversation that the language change to “licensure” for midwives to ensure consistency and increase access 

To close, by ensuring our communities have access to midwives, we can protect our pregnant loved ones from racism and mistreatment at the hands of hospital systems, provide better support for families who decide to give birth at home or in a birth center, and take the necessary steps to address the epidemic of Black infant and maternal mortality. For too long, Black communities have experienced the brunt of reproductive oppression in this country. We need birth justice now, and we urge you to support Senate Bill 21- 101 as a way to get justice for Black communities. Thank you for your time.    


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